Healthsource Of Puyallup

LBN: Church Chiropractic Inc
Healthsource Of Puyallup is an health care organization with primary practice located at 1703 S Meridian Suite 301, Puyallup WA 98371-7590. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Church Chiropractic Inc can be contacted via phone (253) 841-4425, or through Church, Michael L via phone (253) 841-4425.

Contact Information

Primary practice address
1703 S Meridian Suite 301 Puyallup WA 98371-7590
Phone: (253) 841-4425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Church, Michael L Doctor of Chiropractic (DC)
Phone: (253) 841-4425

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X CH3323 Washington

Profile Details

NPI number 1801057526
LBN Legal business name Church Chiropractic Inc
DBA Doing business as Healthsource Of Puyallup
Authorized official Church, Michael L Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2008
Last updated Nov 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801057526 NPPES
Washington Other 169571 WORK COMP

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